Manickam, Sundara K

Manickam, Sundara K is an individual health care provider with primary practice located at 5334 Meadow Lane Ct , Sheffield Village OH 44035-1469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Manickam, Sundara K can be contacted via phone (440) 934-8921.

Contact Information

Primary practice address
5334 Meadow Lane Ct Sheffield Village OH 44035-1469
Phone: (440) 934-8921
Fax: (440) 934-8938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35074669 Ohio

Profile Details

NPI number 1548234321
LBN Legal business name Manickam, Sundara K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Apr 22nd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548234321 NPPES
Ohio MEDICAID 2481701

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